Individual
SURESH MANAPURAM
Active
Individual
SURESH MANAPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30750
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30750
NEBRASKA MEDICAL LICENSE NUMBER
NE
Enumeration date
06/17/2014
Last updated
06/05/2018
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